2014糖尿病指南: Diabetes Care in Older Adults

Older adults who are

   • Functional

   • Cognitively intact

   • Expected to live long enough to reap benefits
Same treatment goals as younger adults

Glycemic targets: may be relaxed for some older adults based on individual criteria

   • Avoid hyperglycemic complications

Treat CV risk factors considering
   • Timeframe of benefit, individual patient characteristics

   • Hypertension treatment indicated in many older adults

   • Lipid, aspirin therapy may benefit patients whose life expectancy is equal to timeframe of primary or secondary prevention trials

Individualize screening for complications

   • Be mindful of complications that may lead to functional impairment